Андрология и генитальная хирургия. 2023; 24: 155-160
Эндоскопическое удаление инородного тела уретры (осколка): клиническое наблюдение
https://doi.org/10.17650/2070-9781-2023-24-4-155-160Аннотация
Огнестрельные ранения наружных половых органов составляют до 2/3 случаев боевой хирургической травмы мочеполовой системы. В современных условиях преобладают осколочные ранения. Цель настоящей работы – продемонстрировать возможность эндоскопического удаления металлического осколка из просвета уретры.
Нами представлено описание клинического случая успешного удаления металлического осколка из просвета уретры: мужчина в возрасте 22 лет получил 7 мес назад огнестрельное осколочное ранение органов мошонки и уретры, впоследствии был выявлен металлический осколок в просвете уретры, который был удален эндоскопически. При использовании рентгеновских методов диагностики не всегда удается локализовать осколок. В таком случае целесообразно использовать эндоурологические методы диагностики.
Список литературы
1. Williams M., Jezior J. Management of combat-related urological trauma in the modern era. Nat Rev Urol 2013;10(9):504–12. DOI: 10.1038/nrurol.2013.148
2. Serkin F.B., Soderdahl D.W., Hernandez J. et al. Combat urologic trauma in US military overseas contingency operations. J Trauma 2010;69(Suppl 1):S175–8. DOI: 10.1097/TA.0b013e3181e45cd1
3. Goldman C., Shaw N., du Plessis D. et al. Gunshot wounds to the penis and scrotum: a narrative review of management in civilian and military settings. Transl Androl Urol 2021;10(6):2596–608. DOI: 10.21037/tau-20-1175
4. Hudak S.J., Morey A.F., Rozanski T.A., Fox CW Jr. Battlefield urogenital injuries: changing patterns during the past century. Urology 2005;65(6):1041–6. DOI: 10.1016/j.urology.2004.11.031
5. Vucković I., Tucak A., Gotovac J. et al. Croatian experience in the treatment of 629 urogenital war injuries. J Trauma 1995;39(4):733–6. DOI: 10.1097/00005373-199510000-00023
6. Tucak A., Lukacević T., Kuvezdić H. et al. Urogenital wounds during the war in Croatia in 1991/1992. J Urol 1995;153(1):121–2. DOI: 10.1097/00005392-199501000-00043
7. Al-Azzawi I.S., Koraitim M.M. Lower genitourinary trauma in modern warfare: the experience from civil violence in Iraq. Injury 2014;45(5):885–9. DOI: 10.1016/j.injury.2014.01.005
8. Al-Azzawi I.S., Koraitim M.M. Urethral and penile war injuries: the experience from civil violence in Iraq. Arab J Urol 2014;12(2):149–54. DOI: 10.1016/j.aju.2013.11.002
9. Phonsombat S., Master V.A., McAninch J.W. Penetrating external genital trauma: a 30-year single institution experience. J Urol 2008;180(1):192–5; discussion 195–6. DOI: 10.1016/j.juro.2008.03.041
10. Golovko S., Gybalo R., Lurin I. et al. Penetrating gunshot wounds to the penis: a case report of combat patient injured in the war in Ukraine. Int J Emerg Med 2023;16(1):5. DOI: 10.1186/s12245-023-00481-5
11. Cerwinka W.H., Block N.L. Civilian gunshot injuries of the penis: the Miami experience. Urology 2009;73(4):877–80. DOI: 10.1016/j.urology.2008.10.057
12. Kunkle D.A., Lebed B.D., Mydlo J.H., Pontari M.A. Evaluation and management of gunshot wounds of the penis: 20-year experience at an urban trauma center. J Trauma 2008;64(4):1038–42. DOI: 10.1097/TA.0b013e3180342036
13. Balzano F.L., Hudak S.J. Military genitourinary injuries: past, present, and future. Transl Androl Urol 2018;7(4):646–52. DOI: 10.21037/tau.2018.04.05
14. Шанава Г.Ш., Мосоян М.С., Грабский А.М., Арзуманян К.Г. Особенности извлечения инородных тел из нижних мочевыводящих путей. Урологические ведомости 2021;11(3):213–8. DOI: 10.17816/uroved72148
Andrology and Genital Surgery. 2023; 24: 155-160
The endoscopic removal of urethral foreign body (a fragment of an artillery shell): a clinical case
https://doi.org/10.17650/2070-9781-2023-24-4-155-160Abstract
Gunshot wounds of the external genitalia are present in two-thirds of all penetrating genitourinary trauma in the military setting with prevailing shrapnel wounds.
The reported clinical case is aimed at providing rational and demonstrating benefits of endoscopic removal of a splinter from the urethral lumen.
The clinical case presents the successful removal of a splinter from the urethral lumen. A 22-year-old man suffered gunshot shrapnel wound to the scrotum and urethra 7 months ago, а splinter was located in the urethral lumen and was successfully removed using endoscopic approach. In some cases X-ray diagnosis does not allow detecting the exact location of the splinter. Therefore, it is rational to use endourological diagnostic procedures.
References
1. Williams M., Jezior J. Management of combat-related urological trauma in the modern era. Nat Rev Urol 2013;10(9):504–12. DOI: 10.1038/nrurol.2013.148
2. Serkin F.B., Soderdahl D.W., Hernandez J. et al. Combat urologic trauma in US military overseas contingency operations. J Trauma 2010;69(Suppl 1):S175–8. DOI: 10.1097/TA.0b013e3181e45cd1
3. Goldman C., Shaw N., du Plessis D. et al. Gunshot wounds to the penis and scrotum: a narrative review of management in civilian and military settings. Transl Androl Urol 2021;10(6):2596–608. DOI: 10.21037/tau-20-1175
4. Hudak S.J., Morey A.F., Rozanski T.A., Fox CW Jr. Battlefield urogenital injuries: changing patterns during the past century. Urology 2005;65(6):1041–6. DOI: 10.1016/j.urology.2004.11.031
5. Vucković I., Tucak A., Gotovac J. et al. Croatian experience in the treatment of 629 urogenital war injuries. J Trauma 1995;39(4):733–6. DOI: 10.1097/00005373-199510000-00023
6. Tucak A., Lukacević T., Kuvezdić H. et al. Urogenital wounds during the war in Croatia in 1991/1992. J Urol 1995;153(1):121–2. DOI: 10.1097/00005392-199501000-00043
7. Al-Azzawi I.S., Koraitim M.M. Lower genitourinary trauma in modern warfare: the experience from civil violence in Iraq. Injury 2014;45(5):885–9. DOI: 10.1016/j.injury.2014.01.005
8. Al-Azzawi I.S., Koraitim M.M. Urethral and penile war injuries: the experience from civil violence in Iraq. Arab J Urol 2014;12(2):149–54. DOI: 10.1016/j.aju.2013.11.002
9. Phonsombat S., Master V.A., McAninch J.W. Penetrating external genital trauma: a 30-year single institution experience. J Urol 2008;180(1):192–5; discussion 195–6. DOI: 10.1016/j.juro.2008.03.041
10. Golovko S., Gybalo R., Lurin I. et al. Penetrating gunshot wounds to the penis: a case report of combat patient injured in the war in Ukraine. Int J Emerg Med 2023;16(1):5. DOI: 10.1186/s12245-023-00481-5
11. Cerwinka W.H., Block N.L. Civilian gunshot injuries of the penis: the Miami experience. Urology 2009;73(4):877–80. DOI: 10.1016/j.urology.2008.10.057
12. Kunkle D.A., Lebed B.D., Mydlo J.H., Pontari M.A. Evaluation and management of gunshot wounds of the penis: 20-year experience at an urban trauma center. J Trauma 2008;64(4):1038–42. DOI: 10.1097/TA.0b013e3180342036
13. Balzano F.L., Hudak S.J. Military genitourinary injuries: past, present, and future. Transl Androl Urol 2018;7(4):646–52. DOI: 10.21037/tau.2018.04.05
14. Shanava G.Sh., Mosoyan M.S., Grabskii A.M., Arzumanyan K.G. Osobennosti izvlecheniya inorodnykh tel iz nizhnikh mochevyvodyashchikh putei. Urologicheskie vedomosti 2021;11(3):213–8. DOI: 10.17816/uroved72148
